Korean Journal of Gastrointestinal Endoscopy 1998;18(4): 625-629.
증례 : 담도 췌장 ; 담관의 다발성 유두종에서 병발된 선암 ( Case Reports : Biliary Tract & Pancreas ; A Case of Multiple Biliary Papillomatosis with Focal Adenocarcinoma )
유효민, 정재복, 송시영, 조용석, 전재윤, 문영명, 강진경, 박인서 (Hyo Min Yoo, Jae Bock Chung, Si Young Song, Yong Seok Cho, Chae Yoon Chon, Young Myung Moon, Jin Kyung Kang and In Suh Park)
Abstract
Multiple biliary papillomatosis are extremely rare, fifty one cases have been reported in the literature. Clinical symptoms are associated with obsructive jaundice and cholangitis. Malignant transformation into adenocarcinoma had been described. We report a case of multiple papillomatosis in the entire biliary ductal system with malignant transformation, in which endoscopic retrograde cholangiopancreatography and peroral choledochoscopy showed multiple polypoid lesicons. The endoscopic sphincterotomy and the intraductal biopsy confirmed the histologic diagnosis of multiple papillomatosis and adenocarcinoma. (Korean J Gastrointest Endosc 18: 625-629, 1998)